This is a multi-center, randomized, phase II study, aimed to evaluate the efficacy of investigational product at a dose of 1800 µg/day when given in combination with TNT. There will be two arms included in this study: Arm A (TNT regimen \+ 1800 µg/day of rSIFN-co treatment) and Arm B (TNT regimen only). Subjects will be randomly assigned to any of the two arms in a 2:1 ratio to receive TNT regimen concurrently with rSIFN-co treatment twice a week or TNT regimen only. The efficacy of rSIFN-co when given in combination with Total Neo-adjuvant Therapy (TNT) will be measured by complete response. Where, complete response is defined as subjects with pathological complete response (pCR) or clinical complete response (cCR).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
90
Subjects will receive the reconstituted rSIFN-co lyophilized powder via rectum and anus, twice a week
each subject will receive short-course radiotherapy (RT) (25 Gy in 5 fractions) followed by chemotherapy (6 cycles of CAPEOX), after 2-week rest.
To evaluate the complete response rate at the end of treatment period
complete response is defined as the proportion of subjects with pathological complete response (pCR) or clinical complete response (cCR).
Time frame: at the end of treatment period (approximately at week 25)
To evaluate the proportion of subjects achieving ypT0
Proportion of subjects achieving ypT0 according to the TNM staging system of the AJCC cancer staging manual, at the end of treatment period
Time frame: at the end of treatment period (approximately at week 25)
To evaluate the proportion of the subjects with tumor down-staging
defined as reduction of at least one level in T or N staging between the baseline MRI and histopathological staging, without any evidence of upstaging or disease progression, after treatment with rSIFN-co when given in combination with TNT.
Time frame: at the end of treatment period (approximately at week 25)
To evaluate the percentage of subjects who are medically inoperable at baseline and who are undergoing surgery after treatment
Percentage of subjects who are medically inoperable at baseline and who are undergoing surgery after treatment with rSIFN-co when given in combination with TNT
Time frame: at the end of treatment period (approximately at week 25)
To determine the occurrence of any AEs/SAEs during the study duration
To determine the occurrence of any AEs/SAEs during the study duration, according to National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) (version 5.0)
Time frame: through study completion, an average of 25 weeks
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